<unavail> in Everett, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Everett, Washington. The current practice location for is 1019 112th St Sw, Everett, Washington. For appointments, you can reach them via phone at (425) 551-6200. The mailing address for is Po Box 13060, Everett, Washington and phone number is (425) 789-3700.

is licensed to practice in Washington (license number 7034036). The clinic also participates in the medicare program and its NPI number is 1669504395. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (425) 551-6200.

Contact Information


	1019 112th St Sw Everett WA 98204
	(425) 551-6200
	(425) 551-6017

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1019 112th St Sw, Everett, Washington
Authorized Official Name and Position	Robert C Farrell (EXECUTIVE DIRECTOR)
Authorized Official Contact	4257893700
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 13060 Everett WA 98206-3060 Ph: (425) 789-3700	1019 112th St Sw Everett WA 98204 Ph: (425) 551-6200

NPI Details:

NPI Number	1669504395
Provider Enumeration Date	03/09/2007
Last Update Date	08/12/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	0446152003
Medicare Enrollment ID	O20070717000736

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669504395	NPI	-	NPPES
7034036	Medicaid	WA
8934243	Other	WA	CRIME VICTIMS COMP
32770	Other	WA	WORKER COMPENSATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7034036 (Washington)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	7034036 (Washington)	Primary

Reviews and Comments

Clinic/Center in Everett, WA

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- Medicare Primary Care in Everett, WA